Mind-wandering and sleepiness in adults with attention-deficit/hyperactivity disorder

被引：6

作者：

Madiouni, Clarisse ^{[1
]}

Lopez, Regis ^{[2
,3
,4
]}

Gely-Nargeot, Marie-Christine ^{[1
]}

Lebrun, Cindy ^{[1
]}

Bayard, Sophie ^{[1
]}

机构：

[1] Univ Montpellier, Univ Paul Valery Montpellier 3, EPSYLON EA 4556, F-34000 Montpellier, France

[2] Hop Gui De Chauliac, Serv Neurol, Unite Troubles Sommeil, Ctr Natl Reference Narcolepsie Hypersomnies, Montpellier, France

[3] Inserm U1061, Montpellier, France

[4] Univ Montpellier, Montpellier, France

来源：

PSYCHIATRY RESEARCH | 2020年 / 287卷

关键词：

Adult ADHD; Daydreaming; Experience sampling methodology; Mind-wandering; Sleepiness; DEFAULT MODE NETWORK; DEFICIT HYPERACTIVITY DISORDER; DAYTIME SLEEPINESS; EXECUTIVE-CONTROL; WAKEFULNESS TEST; WORKING-MEMORY; META-AWARENESS; ADHD; PERFORMANCE; THOUGHT;

D O I：

10.1016/j.psychres.2020.112901

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Sleepiness and mind-wandering are frequently experienced by patients with attention-deficit/hyperactivity disorder (ADHD), without ever having been jointly explored. We aimed to investigate the co-occurrence of these two phenomena in ADHD adults. Drug-free ADHD adults (n = 25) and healthy controls (n = 28) underwent an online experience sampling of mind-wandering episodes and subjective sleepiness. Participants completed self-reported measures of mindwandering and sleepiness in daily life. Higher trait of mind-wandering was observed in ADHD patients compared to controls. On the whole sample, self-reported mind-wandering propensity was strongly associated with the severity of inattentive, impulsive and hyperactive symptoms. During the probes, patients reported more frequent episodes of mind-wandering and mind-blanking, and higher sleepiness. Their mind-wandering episodes were less intentional and belonged less frequently to a structured succession of thoughts. In both groups, mind-wandering and mind-blanking were associated with higher sleepiness. On the SART, patients were less accurate than controls. We provide first initial evidence for higher propensity of mind-wandering and mind-blanking using experience sampling in patients with formal ADHD diagnosis. This propensity was associated with sleepiness without negatively impacting attention performances. Mind-wandering and sleepiness have common determinants potentially involved in ADHD pathophysiology. Correlates of mind-blanking in ADHD adults remain to be characterized.

引用

页数：9

共 93 条

[1] Screening and Imputed Prevalence of ADHD in Adult Patients with Comorbid Substance Use Disorder at a Residential Treatment Facility [J].